Campbell Center for Autism LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CAMPBELL CENTER FOR AUTISM LLC

Doing business as

Campbell Center for Autism

Practice address

7530 W Sahara Ave Ste 104
Las Vegas, NV 89117-2744

Phone

(702) 260-2360

NPI assigned

Jul 23, 2018

Last updated

Jul 23, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jessica TraylorNPI 1366711921

Title

Managing Member

Phone

(702) 285-9086

Specialties & licenses 1

Addresses

Other names 1

• Campbell Center for Autism Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Elizabeth Traylor, M.S. AND BCBA

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1366711921
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1689151656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 W SAHARA AVE STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 W SAHARA AVE STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172744",
            "telephone_number": "702-260-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL CENTER FOR AUTISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MANAGING  MEMBER",
        "authorized_official_telephone_number": "702-285-9086",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Center for Autism",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Louis Campana, LCSW
• Taylor Campanella-Slattery, OTR/L
• Candaus Ranowel Campanella
• Jessica Campania
• Kevin Campania
• Campbell Chiropractic Inc.
• Zina L Campbell-Jackson, LCPC
• Karen Campbell-Moore
• Carri Campbell-Nasby, APRN
• Nikyah Campbell-Sanders

• Mental Health Clinic/Center (Including Community Mental Health Center) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.